Psych To Site Wellness Program

NPI 1215374558 - Social Worker - 1041C0700X

NPI Details
NPI 1215374558
Enumeration Date 05/28/2013
Last Updated 05/28/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name NELISSA NELISSA
Position OWNER
Phone (248) 557-4420
Fax
Practice Location
28440 SOUTHFIELD RD
LATHRUP VILLAGE MI, 48076-2820, US
Phone (248) 557-4420
Fax
Business Location
28440 SOUTHFIELD RD
LATHRUP VILLAGE MI, 48076-2820, US
Phone (248) 557-4420
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State
License Number
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According to our database, Psych To Site Wellness Program NPI is 1215374558, taxonomy code is 1041C0700X Psych To Site Wellness Program physically located at 28440 Southfield Rd, Lathrup Village MI, 48076-2820. NPI Number 1033115704 has the healthcare provider type.

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1215374558 NPI number is provided on an as is basis without warranty of any kind. 1215374558 is maintained by the National Plan & Provider Enumeration System. The contents of Psych To Site Wellness Program are for informational purposes only.